From Ore to OR
A shiny instrument has what kind of finish?
Mirror
Bioburden, functional ratchet, jaws/tips/teeth align
Name two places you can find instruments that are missing from a tray.
Backup wall; peel packs (depending on the facility's policy); other trays from the same case cart
How are peel packs arranged for sterilization?
Paper to plastic
What is the first step in processing a flexible endoscope?
Leak testing
This process involves treatment with chemicals to form a protective layer on the instrument's surface
Passivation
What should be used to test an osteotome?
Plastic dowel rod
What is an important step when assembling a tray containing implants?
Restock any used implants
What type of peel pack can be used in hydrogen peroxide (low temperature) sterilizers?
Tyvek or spunbond
What is the first step in manually testing the insulation on a laparoscopic instrument?
Locate the metal collar at the distal tip
What is Martensitic stainless steel?
400 series stainless steel; harder; used for instruments with a cutting edge
Name one instrument that is tested using an index card.
rongeurs; bone cutters
When applying instrument tape, how many times should it be wrapped around the instrument?
1.5 times
This type of packaging should only be used for small, lightweight instruments.
Peel pack
Where does testing of insulation on laparoscopic instruments occur?
Prep & pack
What is Austenitic stainless steel?
Series 300 stainless steel -- softer; more resistant to corrosion; used for retractors
How should an instrument with a lumen be inspected?
Place a paper towel on the work surface; use compressed air to ensure the lumen is clean and dry
How many chemical indicators do you need for a tray that has multiple levels?
At least one for each level
Class II
What do dark spots indicate on the ends of a fiberoptic light cord?
Damaged light fibers
Most surgical instruments are made of ______________________.
Stainless steel
What is yellow test material used for?
Testing sharpness of scissors 4.5" or shorter
Why should multipart instruments be disassembled for sterilization?
To allow the sterilant to reach all areas
This type of packaging is the most durable.
Rigid container
Where does a tray containing powered instruments go after being wiped down?
In the drying cabinet